Sexual Medicine is a discipline of Medicine which deals with sexual problems - physical as well as psychological.

On a professional, formal scale, Sexual Medicine is perhaps the most recent of advances in modern medicine. It is now established that Sexual Health is an integral part of general health and that Sexual Health can not be neglected if one wants to be totally healthy.

Some of the sexual problems which a person / Couple may have, are

In Men:

• Lack of or reduced sexual drive / interest

• Impotence / Erectile Dysfunction - Problem in obtaining or maintaining a penile erection.

• Problem in ejaculation - too quick (premature) ejaculations, inability to ejaculate during intercourse (Retarded ejaculation)

• Lack of pleasure in intercourse

• Pain during / after intercourse

In Women:

• Lack of or reduced sexual interest

• Inability to get aroused (Dry Vagina)

• Orgasmic dysfunction - Inability to obtain orgasm (Climax) during intercourse

• Vaginismus - Un / Subconscious tightening of the Vaginal muscles - preventing intercourse

• Pain during / after intercourse

In Either:

• Sexual orientation problems like Homosexuality, Lesbianism, Bisexuality and Transexuality.

• Body image concerns - Under developed breasts, Genitals, Secondary sex characters etc.

• Faulty sex techniques leading to infertility

• Paraphilias - "AB" normal sexual behaviours etc.

It is a well established fact that sexual functioning does not depend only on physical factors. The psyche or mind plays an equal role in sexual functioning.

Dega Institute adopts a comprehensive evaluation procedure in diagnosing sexual problems. The consultant obtains a detailed sexual history (preferably from both partners in case of couples who are married) and performs a through physical examination. After this the necessary laboratory investigations are performed depending upon the contingency.

State of the art diagnostic tools are available now a days to identify the causative factors.

These include:

• Biochemical tests
• Hormone Assays
• Penile Hemodynamic studies
• Nerve conduction studies
• Ultrasound scans, Doppler studies
• Rigiscan
• Psychological assessment tests etc.

Once the causative factor is identified, the appropriate treatment strategy is offered to the client / couple.

The treatment strategies include:

• Sex Therapy
• Sex Counselling
• Medical therapy (treatment with medicines)
• (Corrective) surgical therapy
• Hormone Replacement therapy
• Vaccum suction devices
• Penile implant surgery
• Behaviour Modification therapy
• Supportive psychotherapy
• Marital therapy etc

DEGA INSTITUTE         Dr. D.Narayana Reddy         25 IV Floor Indira Devi Appartments         20-A Gopalakrishna Iyer Street         T. Nagar         Chennai - 600 017        INDIA  (044) - 8281405

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